Organization
NEUROLOGICAL & HEADACHE DISORDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNAWAR A PARACHA M.D. (PRESIDENT)
(928) 757-7100
Entity
Organization
Contact information
Practice address
1708 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(928) 757-7100
(928) 757-7255
Mailing address
1708 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(928) 757-7100
(928) 757-7255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25814
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430075
—
AZ
Enumeration date
07/17/2007
Last updated
09/14/2018
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